For o.t.t.a office use only division of public safety department of emergency medical services office of training and technical assistance training and conference request form 1. general information: name: emt lic. dl tp evoc bls inst. phtls hcp...
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No. new york state department of health bureau of emergency medical services policy statement 12-03 date: 1/23/2012 re: electronic pcr data submission page 1 of 4 supercedes/updates: 04-05, 08-01 the new york state department of health, bureau of...
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New york state department of health bureau of emergency medical services certified instructor/ coordinator cic signature final practical skills examination summary sheet practical exam coordinator pec signature practical exam date mm dd yy course...
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New york state department of health bureau of emergency medical services please print name first name mi registration for emergency medical service exam test scheduling request bems use only: last name address street city state apt. # zip...
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